Understanding OHIP Dental Insurance Plans and Policies

Understanding OHIP Dental Insurance Plans and Policies can be overwhelming, especially with so many options available. You're eligible for OHIP dental coverage if you're a resident of Ontario, Canada, and have a valid Ontario Health Card.

OHIP dental insurance plans are not the same as private dental insurance plans. They're designed to provide limited coverage for basic dental services. The Ontario government sets the rates and services covered by OHIP.

You can choose from two types of OHIP dental plans: the General Practitioner (GP) plan and the Specialist plan. The GP plan covers basic services like cleanings, fillings, and extractions, while the Specialist plan covers more complex procedures.

Advantage Dental Services is closely affiliated with Advantage Dental Oral Health Centers, a Medicaid (OHP) plan. This means that if you're an OHP member, you can access oral health services at these centers.

There are several health care programs available for low-income Oregonians through OHP, including OHP Plus for children and adults, OHP Plus Supplemental for pregnant adults, and OHP with Limited Drug for adults who qualify for both Medicaid and Medicare Part D.

To qualify for OHP, individuals and families must meet income and residency requirements. Residents of Oregon may also qualify based on age and disability status.

You can check your eligibility and find the right application for you and your family by visiting OregonHealthCare.gov and answering the screening questions.

The covered dental benefits include care to keep your teeth healthy, such as cleanings and exams, x-rays, fluoride varnish, and sealants for children under 16. Treatment for problems like fillings, extractions, and dentures is also covered, as well as emergency dental care and help getting to dental appointments.

Here are some of the covered dental benefits:

If you have fee-for-service OHP (FFS, also called Open Card), you can call the Nurse Advice Line at 800-562-4620 for more information.

If you're facing a dental emergency, don't panic. You can get help through your OHP (FFS) insurance plan.

Emergency dental care is covered under your plan, so you can get the treatment you need without worrying about the cost.

If you have a dental emergency, you can call the Nurse Advice Line at 800-562-4620 for assistance.

Advantage Dental+ does not determine eligibility for these or any other insurance programs or plans, so it's essential to contact your insurance provider directly for current coverage and eligibility requirements.

To get help getting to dental appointments, you can also contact your insurance provider.

Here's a quick rundown of what's covered under emergency dental care:

If you're a youth under age 16, you're eligible for sealants to prevent decay on your back teeth. This coating is a great way to keep your teeth healthy and strong.

Young people over age 16 and adults can get dentures as part of their OHP dental insurance coverage. This includes full or partial dentures, depending on your needs.

Emergency dental care is also covered under OHP dental insurance. This means you can get help right away if you're experiencing a dental emergency.

If you have trouble getting to the dentist, OHP dental insurance can help with transportation. This includes rides to and from the dentist's office, and even transportation to other health-related spots.

If you have FFS OHP, you can call the Nurse Advice Line at 800-562-4620 to get help with dental appointments.